Category Archive: anti-aging

Beauty Below The Chin

A common concern of nearly all my clients over the age of 45 is the lower face and neck zone. It’s at this age when one might begin to notice a slight to moderate loosening of the jowl area. And in terms of “looking” older, this does contribute to visible aging.

At this early stage, it’s not necessary to consider a neck lift, yet – though maybe in the future. Gratefully, and to the amazement of many patients, an easy fix can be had with minimal effort and near-to-no downtime. And depending on your own needs, we can choose from several options.

One of the initial reasons for losing elasticity in the neck area is due to a depletion of the fat pads that line the facial muscles. As these begin to fall and deflate naturally, it causes a build-up and laxity at the bottom of the jawline. To treat this, we use Kybella. Though originally developed to be used on the sub-mental region for a double-chin, Kybella has been successfully placed in drooping jawline areas to reduce unwanted fat while performing a mild tightening effect, resulting in a more defined jawline and silhouette.

Further aging will invariably affect the neck, as well. After about the age of 50, most people will notice some form of elasticity depletion in this area. For this, we offer several excellent options at the Anushka Cosmedical Centre to both firm and tighten skin for any level of drooping, including:

  • Firming Neck Creams (mildly helpful on their own)
  • Barbed Threads
  • Electronic Skin Tighteners:
    • TITAN (Infrared Light)
    • Ultherapy (High-Intensity Ultra-Sound)
    • Viora Reaction (Radio Frequency)

People often ask me, “What treatment works best?” Of course, beginning mild anti-aging treatments early will help maintain your youthful appearance. If you are looking for a more noticeable lift, it is my experience that combining treatments will lead to the best overall results. At Anushka, we treat neck laxity with a combination of three treatments: Nectifirm Advanced by Revision Skin Care, TITAN by Cutera, and PDO threads. Together, these treatments result in a significantly improved appearance that can stave off a neck lift for years to come.

I invite you to join me for a complimentary consultation to discuss your own anti-aging goals. Together, we can achieve a more vibrant and youthful appearance you can enjoy all season through, and beyond! Call 561-820-8055 to schedule an appointment with our Cosmedical Concierge.

Dr. Bonnie Marting, DNP, ARNP

The Fairest Filler of them All

With the increasing number of dermal fillers available in the US, it’s getting even more confusing for the average aesthetic patient to understand what should be used where and when, or even if. This is where understanding the nuances and intricacies of each product is essential for an Aesthetic Provider to appropriately recommend treatments that will truly benefit the patient and get them closer to their goals.

Restylane Silk is one of my favorite products because of its nuances: very small particle size, ability to squeeze into tiny areas (think lines around the mouth) without elevating the area, filling in sharp lines without creating bulk, and making lips look moisturized without creating the “Trout Pout”. It also can be placed in those difficult to disguise areas like the horizontal neck lines (rings around the neck) and the famous “V lines” that happen on the décolleté. What happens is a look that is very soft, replenished, and natural (not to mention youthful!).

Restylane Silk is also the only lip filler that has been approved by the FDA for lip augmentation done with a cannula. This procedure allows treatment with only two small needle sticks in the corners of the mouth. The cannula is then placed in those areas and progressed into the lips. This treatment allows for less trauma as well as less bruising.

Products That Make A Difference

Historically (and presently) retinoids are a true mainstay of antiaging and maintaining healthy, beautiful skin. One of the oldest retinoids (if not THE oldest) is tretinoin, or its trade name Retin-A. The formula, a vitamin-A derivative, was first patented in 1957 and studied extensively for acne in the early 1960s. As its use for acne became popular in the 1970s and 80s, it was apparent that the skin on the users did not age the same as non-users. One of its mechanisms is the increased cell-turnover that actually keeps your skin newer, or younger. The result is less wrinkled, glowing skin with a thinner epidermis (thickening normally as we age) and a thicker dermis (thinning normally as we age). Later, it was demonstrated that there was a decrease in the amount of facial skin cancer in people using a retinoid. The downside is that the retinoids take some getting used to. Presumably in part due to the increased cell turnover, the skin becomes a bit inflamed and somewhat stingy in the first few weeks. This can be alleviated by extra moisturizing utilizing a moisturizer high in antioxidants and peptides such as the YOUTH Crème by iS Clinical. That, together with a more tolerable retinoid such as the SkinMedica Retinol, is my favorite combination to keep people younger!

Defy Aging With iS Clinical’s YOUTH INTENSIVE CRÈME

YOUTH INTENSIVE CRÈME is an extraordinarily rich and luxurious age-defying formula that helps to reduce the appearance of fine lines and wrinkles as it provides powerful hydration. This transformative crème scientifically combines the purest and most effective botanically-derived moisturizers, antioxidants, resurfacing acids, and growth factor. Clinically proven, YOUTH INTENSIVE CRÈME smoothes the skin, revealing a firmer and more radiant, youthful complexion.

BENEFITS
• Provides powerful, 24-hour hydration
• Helps visibly plump and smooth the appearance of fine lines and wrinkles over time
• Rich, protective crème formula
• Gently exfoliates for increased vitality
• Delivers essential nutrients to the skin
• Provides potent antioxidant protection
• Improves the appearance of skin strength and elasticity
• Paraben-free

1. Copper Tripeptide Growth Factor
 Clinically proven to help diminish the appearance of premature aging and help visibly reduce wrinkles over time.

2. Hyaluronic Acid
Nature’s most powerful hydrator

3. Superoxide Dismutase (SOD)
A uniquely designed, antioxidant-rich natural enzyme that helps protect against the visual effects of photo-damage while supporting healthy skin.

4. Vitamin C (Tetrahexyldecyl Ascorbate)
A scientifically-advanced, stabilized form of vitamin C, which helps to protect against the visual effects of photo-damage while providing calming properties

Reboot Your Skin For Spring

Beautiful skin begins in spring!  Shed your winter skin with our Defenage Stem Cell Facial and reveal a younger more rejuvenated and refreshed you. Inspired by the recent discovery of the skin’s regeneration process, the scientists at DefenAge™ have identified how to unlock the key to youth with powerful peptides called Age-Repair Defensins™. Paradigm-shifting DefenAge is the FIRST and ONLY 4th generation skin care featuring this stand-alone breakthrough NATURAL mechanism of action. Patent-pending and exclusively available in DefenAge.

We are pioneering the future of skin care!
Book Your Defenage Stem Cell Facial Now

Visible correction of up to 16 signs of aging just in 6 weeks!*

 

Functional Nutrition For A Healthier You

Being healthy is a choice we all can make! Your overall health and wellness corresponds to the foods you eat, the lifestyle you live, the sleep you get, and the thoughts you think. These are all choices we make each and every day.
Do you want to CHOOSE to be Healthy and Well or sick with disease and pain?
Transforming our lives starts with changing from the traditional medical model (a symptom-care system) of masking and covering up symptoms to the natural approach with a focus on prevention and treatment of the underlying root causes. We look at symptoms as a communication tool telling us something else is going on. Do you have unexplainable symptoms that continue to wreck havoc on your daily life?
 Are you suffering with digestive problems, gas, bloating, constipation, reflux, food allergies, IBS?
 Gut Health is a factor in many chronic health concerns including depression, autoimmune diseases, skin problems and hormone imbalances. You may be suffering with gut inflammation and your GUT needs help and attention.
 Have you been battling with weight gain, thyroid dysfunction, elevated cholesterol, high blood pressure, chronic fatigue, or blood sugar imbalances?
 We have answers for you with our nutrition-based care programs to train your body how to become a fat burner utilizing healthy eating habits and healing foods to make you feel and look your very best.
The goal of our Functional Nutrition Programs at Anushka is a generation of change to create a new environment for our health! Our innovative approach involves a detailed analysis of all your body’s systems to develop your functional nutrition care plan to address the whole you.
We offer a variety of programs designed to help you address your health conditions with:
Cutting-edge Testing / functional assessment evaluation / customized meal plans / lifestyle changes / body composition analysis / individualized coaching and accountability support / functional supplementation / and cellular detoxification
Our Goal is to help you reach your health goals with a realistic approach that accommodates your lifestyle, current routines, and eating preferences while eating real food, conquering cravings, and breaking the sugar addiction!
Are you ready to transform your life to the healthy being you were made to be?

KICKSTART to DETOX and WELLNESS
A 30 day nutrition program designed for clients seeking nutrition and lifestyle changes to jumpstart their wellness journey.
Program highlights include:
 Initial Consultation with functional assessment evaluation, body composition analysis, and nutrition plan instructions
 Health coaching for a 30 day system with initial consultation, midway follow up evaluation, and a 30 day success review appointment
 Detoxification assessment and protocol strategy
Program Cost is $697
New Year New You DISCOUNT program is only $597

60 Day RESET NUTRITION PROGRAM
A 60 day nutrition program designed for clients seeking nutrition and lifestyle coaching with step-by-step instructions during a 60-day extended support period to reset you body and health.
Program highlights include:
 Initial Consultation with functional assessment evaluation, body composition analysis, and nutrition plan instructions
 Health coaching for 60 days including 6 individualized consultations with our director of nutrition programs
 Follow up appointments include symptom review, nutrient intake analysis, meal planning, Q&A, protocol updates, and body composition analysis
 Supplementation evaluation, Detoxification assessment and protocol strategy
Program Cost is $1400
New Year DISCOUNT program is only $1099 (over $300 savings)

How To Look Fabulous Forever

Ever since the advent of Botox – the “gateway” treatment for keeping skin looking wrinkle-free for eternity – the non-invasive anti-aging industry has made remarkable progress to do so much more than just “release the crease”. While Botox will almost always be the first line of defense against aging, layering on treatments are proven to not just stop time, but rewind it. Here are some of our top tips for losing 5 or even 10 years in just one sitting.

 

Restylane Silk: Restore Lip Volume

Restylane Silk is the first FDA-approved product specifically engineered to target the restoration of lip volume while helping to smooth any unwanted lines, namely the vertical lines that appear on lips as we age. Using an ultra-smooth hyaluronic acid, just one treatment will restore the volume and shape of lips so they look and feel younger again.

 

Restylane Refyne: Smooth Smile Lines

The lines around our mouth – that start from the edge of the nostril and curve around the edges of the lips – naturally increase in depth and recognition as we age. A high-performing filler, like Restylane Refyne, is a next-generation hyaluronic acid dermal filler designed to support your skin while helping smile lines vanish. Not only are the results remarkable, but it keeps you looking naturally “you”, rather than overdone.

 

Juvéderm: Erase Marionette Lines

One of the most recognizable names in youth restoration is Juvéderm – and for good reason! Their suite of products practically targets every area of facial aging, including the dreaded marionette lines. These creases, which extend from the ends of the lip line straight down along the sides of the chin, significantly impact one’s overall look. Not only do these lines signify age you, but often times, they make the person look “sad”. Literally turning a frown upside down is what Juvéderm excels at!

 

Voluma: Replace Fat Loss

Especially for women, the loss of fat in their cheeks significantly impacts their perceived youth and characteristic silhouette. With Voluma, you can restore volume in the apples of the cheeks with just one treatment, which is proven to last up to 2 years! Age-related volume loss is also a sign of aging that you can’t fix with even the best topical solutions. Voluma will not only restore the volume of your cheeks, giving you a youthful, supple look, but will also help to reduce any skin sagging and tighten subtle lines across the face!

 

Sculptra: Combat Bone Loss

This poly-l-lactic acid is one of the more revolutionary products to hit the non-invasive anti-aging market in the last few years because it doesn’t add foreign substances to the face, rather, it helps to instigate organic regrowth so you de-age naturally! Sculptra helps to stimulate your skin’s own natural collagen from the inside out while helping to restore bone loss that accompanies natural aging within the facial structure. By doing so, your face will begin restoring bone loss and volume naturally, assisting in rewinding time!

 

Thread lift: Mini Face Lift

In many cases, non-invasive injectables can only rewind the clock so much before something more permanent is recommended, like a face lift. But one of the treatments that is gaining widespread popularity is what’s known as a “thread lift”. While not “new” to the market, innovations in these microscopic threads have greatly improved the efficacy and results of the lifting procedure, which is done on an outpatient basis in just 1 hour! Polydiaxanone threads, armored with barb-like cones, are strategically placed under the skin and artfully secured, holding the face into place and offering an instant mini face lift. While the threads slowly absorb, the barbs help to stimulate the production of new collagen so that when the sutures dissolve fully, the newly developed collagen maintains the new facial positioning on it’s own.

Limited-time special pricing is available on most of the mentioned procedures at the Anushka Cosmedical Centre, along with special-event pricing happening intermittently throughout the season. Call 561-820-8055 to hear about all of our current medical offers and prices.

Never Needing The Knife

For many people (men and women alike) the attitude is not” if they will need a face lift but rather when”. I have had friends who simply planned it early on: “I will get my first face lift around age 45, then when I’m 60 and need another it won’t look so drastic”. As I approach the age where my friends are considering this move, more options are appearing.

Fillers and topicals, our previous mainstay for youthful appearance, can attain significant improvement in most people but sometimes it can be quite difficult to achieve enough “lift” and “contour” to make a considerable difference. Voluma and Restylane Lyft can pick up a face quite nicely but if someone already has significant volume, the look may appear inappropriate. Also, it does very little for sagging neck and jowls.

PDO threads (polydiaxanone) are absorbable threads that are designed to lift and reposition the skin and tissue gently but naturally (in the right hands) and will maintain the position while the body slowly absorbs the threads replacing them with your own collagen. This effect alone can last up to 18 months when a full correction is achieved and there is no contraindication to getting a small touch-up here and there. Unless someone has a huge amount of laxity, the threads could delay a facelift for…possibly forever.

Polydiaxanone sutures have been used in medicine for decades. They are harmless and promote the growth of natural collagen. The threads used for lifting have little (tiny) attachments on them that keep them where they were placed until they absorb. The procedure is comfortable with a small amount of anesthetic being used to make the procedure quick and easy.

The Golden Combo Tucking up the skin here and there is a great, natural way to return the skin to where it used to be. However, the fact that we have lost bone and fat in the face is leaving us deflated and hollow. Combining the PDO threads with the appropriate injectables can takes you back decades, rather than just a few years.

  • Bone loss:  Treatment with Sculptra (a collagen stimulant) just before thread placement will leave you looking better each day as your collagen replaces the bone volume lost in facial areas.
  • Fat loss: Juvéderm  Voluma® can provide the necessary filler to mimic what used to be fat. Smooth and youthful looking, it is placed immediately after the threads.
  • Peri-oral rhytids (smokers lines around the mouth): This area is not addressed in a facelift unless a strong laser peel is given. Restylane Silk® or Juvéderm Volbella® will eliminate these pesky little lines without elevating the upper lip that then resembles a platypus.
  •  Crepey skin: In addition to the “lifting” threads, we have very small threads that when placed in these crepey areas will at first support the skin making it instantly smoother. Then as the body absorbs them new, healthy, firm collagen is created, basically eliminating that crepey surface.
  • Marionette lines: Once the threads are inserted, the marionette lines are subdued. However since this is an area of significant volume loss due to muscle pull and constant movement, some replacement is usually necessary. Restylane Defyne® is an amazing product that is designed to move with the tissues in this extremely taxed area. This leaves the lower face looking fresh and smooth.
  • Small dynamic lines: These are the lines formed most often in the lower face and around the mouth that are created every time you form a word or chew your food. Restylane Refyne® is the perfect answer to this little dilemma. Because this product is very elastic, it moves with every motion of your skin and muscles and integrates right into your tissue for invisible support that only you will know is not original. Now you can forget any fleeting thought of a facelift!

 

The Anti-Aging Pill: Dr. Marting Shares Her Advice

Dr. Marting shares her advice on living a long and beautiful life…

You can’t listen to TV, radio, read a magazine, or browse the internet without encountering multiple messages informing us that anti-aging is possible, “If you only take this supplement, or try that regimen”. Miracle IV infusions have become a one of the more recent “fad” treatments that, I hope, people are undergoing only with extreme caution, if at all. All sorts of hormone replacements are touted regularly, all in the hopes of holding off the dreaded effects of aging, if not eliminating them entirely. Maneuvering through this maze can be maddening, and certainly risky.

There is obviously a great deal of fallacy out there. In general, most product claims remain unproven and many regimens require months and months (if not years) of use to appreciate a difference. Some people will want so badly to look and feel more youthful that they will swear something works, only to abandon it a short while later, after realizing things really have remained the same.

So what’s the good news? There really are methods that actually do increase life span. Though not “au courant”, calorie restriction has been confirmed over and over in studies, proving it increases longevity. This is disappointing news for some because it takes constant discipline. But as with most things, the work is worth the reward.

Life Span vs. Health Span

If the goal is to live longer while looking and feel younger, one has to consider that we are talking about a “health span” rather than a “life span”. After all, who wants to live to be nearly a century old if you are in pain, confined to a wheel chair, or (gasp!) look like you’ve passed away some years ago? As always, it’s much more about the life in your years rather than the years in your life.

It is understood that heavy-duty exercise will increase longevity and health, provided you don’t “overdo” it in the beginning, rather gradually build up your tolerance. The book series, “Younger Next Year”, demonstrates this case after case. Exercise is fully recommended by most practitioners. Additionally, there has been much attention given to the type II diabetes drug Metformin for helping every aspect of your body age slower, and possibly improve. This is because it inhibits the production of glucose in the liver and lowers insulin resistance, which in turn reduces the negative effects of glycation in the tissues – which is destructive over time.  Some experts recommend 500mg twice daily. The side effects of this drug are minimal in the presence of healthy kidneys. I am following the FDA’s clinical trials of the drug and it’s efficacy in regards to anti aging. I suggest you follow along as well on the government’s Clinical Trials site.

As always, my recommendation is to tread slowly and carefully when trying new things. Proven “anti-aging” regimens that I can recommend remain to be calorie restriction and exercise. These will never let you down. Also, smiling whenever possible does keep positivity at the forefront, which is necessary for a long, contented life.

-Dr. Bonnie Marting, DNP, ARNP

Read more of Dr. Marting’s Articles at:

www.BonnieMarting.com 

http://www.yearserased.com

Tighten Sagging Facial Skin Without Going Under The Knife

There’s a new (or newish) option for lifting and tightening sagging facial skin without going under the knife. Late last year, the FDA approved a new variation of a once-popular procedure, called a thread lift, making the use of temporary, absorbable sutures a viable option for those who want to achieve similar results of a traditional facelift without the surgery or downtime.

The original thread lift came out in the late ’90s and was performed up until the mid 2000s. The procedure fell out of favor about 10 years ago, but two recent options utilizing new technology, Nova Threads and the Silhouette Instalift, are bringing the thread lift back into the spotlight. While the sudden resurgence of the thread lift (sometimes referred to as a “lunchtime lift”) may be perplexing for some, doctors who are performing this noninvasive procedure say that the newer technology and the fact that it can be done in an hour are two big reasons that procedure is coming back into popularity as a facelift alternative.

How Does a Thread Lift Work?
A thread lift is exactly what it sounds like.  The sutures are inserted into the skin and can instantly tighten and lift problem areas with volume loss like the cheeks, jowls, lips and neck, while stimulating the body to build collagen in the area where the sutures are placed. Attached to the fine threads are tiny cones, small umbrella like attachments that lift and tighten from underneath the skin while simultaneously causing inflammation, which helps to stimulate collagen growth over time.

 

Another challenge was that the skin could only be pulled in one direction. “This made the results appear two-dimensional,” says Chicago plastic surgeon Julius Few, MD.  “The new threads are fully absorbable, making it an absorbable suture lift, not a thread lift. They can also be lifted in two directions, which results in a more three-dimensional look. The old procedure required overpulling of the skin to get a good result, making the downtime several days and not too different from what is now called a mini-facelift.”

Thread Lift vs. Fillers
So, how does the new and improved thread lift hold up against the popular “liquid facelift?” A thread lift procedure takes as little time as a treatment using a combination of fillers (about an hour) and recovery time is just one or two days. Results will vary, but can last anywhere from 18 months to a few years and additional threads can be used at a later time to maintain results. Because the cones continue to stimulate collagen, the results continue to improve over time. But, thread lifts won’t be replacing dermal fillers anytime soon. According to Dr. Few, to achieve optimal results its best to combine procedures. “Used alone, results can last up to 18 months,” says Dr. Few. “But we often use the absorbable suture lift in combination with fillers, lasers and other nonsurgical facial treatments to create a ‘stackable treatment,’” he says. “The results are expected to last several years when combined with other treatments and wear off gradually.”

Newbeauty. com

Bye Bye Crepey Skin

Skin becomes crepey with age for a variety of reasons: buildup of extensive UV damage, dryness, aging, and we lose that precious but unappreciated (in youth) tiny layer of fat under the skin that keeps everything firm and smooth. The result is withering and puckering of the skin that takes on the effect of a continually deflating balloon.
There are many topical products that can help this situation…but only a little. Retinoids are the mainstay for keeping skin younger and healthy from the top down. New cells are produced faster and the entire skin is healthier. Problem is that it does not replace that little layer of fat that is forever gone. Even if one were to gain weight (don’t consider trying this at home) the fat would not return to that spot, just to other inconvenient areas.
One topical system can help however. Brand new research has determined that it is possible to wake up the stem cells congregated in the hair follicles. This produces new skin rather than rejuvenating older skin therefore there is no past damage to surface later. The new skin is young and healthy. There are 3 steps to this system called DEFENAGE®. This still does not replace the fat layer however.
There is an answer to this dilemma…placing a collagen stimulant under the skin to grow brand new collagen that is healthy, firm, and tightly wound will make the skin appear much like it did many years ago. Sculptra® is such a collagen stimulant, in fact the only one on the market. While it does have to be injected, the injections are nearly painless and can be done in as little as five minutes. You start to see new growth in approximately four weeks. The skin is stimulated to grow for well over 6 months but the majority of growth is seen in 3 months. A second treatment may be needed but nothing will bring back the beauty of youth like the new skin seen with Sculptra®.

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